# ABS DIABETES CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568714962
- **Authorized official:** ALBERT HAYNES (DIRECTOR)
- **Authorized official phone:** (803) 238-1800

## Contact information

- **Practice address:** 104 SNOW RD, COLUMBIA, SC 29223-6368
- **Practice address phone:** (803) 238-1800
- **Practice address fax:** (803) 749-8759
- **Mailing address:** 7821 SAINT ANDREWS RD, \#704, IRMO, SC 29063-4220
- **Mailing address phone:** (803) 238-1800
- **Mailing address fax:** (803) 749-8750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TE1100X | Exercise & Sports Psychologist | — | NULL | — |
| 103TE1100X | Exercise & Sports Psychologist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 302R00000X | Health Maintenance Organization | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 10/09/2012